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General NPI Number Information
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NPI Number | 1114325685
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Entity Type | Organization
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Legal Business Name | BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA
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Dates
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Enumeration Date | 12/15/2014
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Last Update Date | 12/15/2014
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Provider Practice Location Address
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Address Line | 8803 S 101ST EAST AVE STE 300
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City | TULSA
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State | OK
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Zip | 74133-5726
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Country | US
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Telephone | 918-994-6277
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Fax | 918-994-6296
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Provider Business Mailing Address
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Address Line | PO BOX 268838
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City | OKLAHOMA CITY
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State | OK
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Zip | 73126-8838
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Country | US
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Telephone | 918-660-3632
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Fax | 918-660-3631
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | JONATHAN JOINER
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Credential |
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Telephone | 918-660-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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